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Adapting stepped care: Changes to service delivery format in the context of high demand.
Psychological Services ( IF 3.097 ) Pub Date : 2021-06-10 , DOI: 10.1037/ser0000564
Russell J Bailey 1 , David M Erekson 1 , Kara Cattani 1 , Dallas Jensen 1 , David M Simpson 1 , Jared Klundt 2 , Heidi A Vogeler 1 , Dominic Schmuck 1 , Vaughn E Worthen 1 , Yoko Caldwell 1 , Mark E Beecher 1 , Derek Griner 1 , Klinton Hobbs 1
Affiliation  

Given the ongoing dilemma for college counseling centers to meet steady increases in demand for services, this study outlines the implementation of an adapted stepped care model in a university counseling center. Our adapted model focused, as do other stepped care models, on treatment planning and lower-intensity interventions, with the addition of the intensive therapy option being provided on a weekly basis. We adopted our stepped care model across a large center and hypothesized that after implementation we would be able to serve a similar number of clients as our previous model and that treatment outcomes for these clients would improve. Descriptive data and regression analyses demonstrated support for our hypotheses, including an increased likelihood of clinically significant improvement for clients postimplementation. Implications for adapting service delivery models using practice-based evidence are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

适应阶梯式护理:在高需求背景下改变服务提供形式。

鉴于大学咨询中心在满足稳定增长的服务需求方面面临的困境,本研究概述了在大学咨询中心实施适应的阶梯式护理模式。与其他阶梯式护理模型一样,我们的调整模型侧重于治疗计划和低强度干预,并增加了每周提供的强化治疗选项。我们在一个大型中心采用了我们的阶梯式护理模式,并假设在实施后,我们将能够为与我们之前的模式相似数量的客户提供服务,并且这些客户的治疗结果将会得到改善。描述性数据和回归分析证明了我们的假设的支持,包括客户在实施后临床显着改善的可能性增加。讨论了使用基于实践的证据调整服务交付模型的含义。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2021-06-10
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